| Name Of the Firm : | Swayam Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1387/717, Khata No. 465, At: Sunari Buguda, P.O.- Madhupalli |
| RP Name : | Susanta Kumar Panda |
| Registration Number : | 8934 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Bhabani Shankar Gouda |
| R : | SLGAII-1554 |
| RC : | SLGAII-1555 |
| RX : | SLGAII-1556 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |